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Fig. 5 —83-year-old man with resectable pancreatic cancer. This case
shows value of coronal reformation in determining length of venous invasion.
Coronal reformation image shows that tumor abuts portal confluence over 1-cm
segment (double arrow). Vertical length of involvement was easier to
determine on coronal reformation images than on axial images (not shown).
Superior mesenteric vein was involved above insertion of first jejunal branch
(black arrow). Note anomalous venous anatomy with inferior mesenteric
vein (white arrow) joining superior mesenteric vein and biliary
(arrowhead) and pancreatic stents. Whipple procedure with vein
reconstruction was performed.
